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Journal articles on the topic 'HIV/AIDS – Lesotho'

Author: Grafiati

Published: 4 June 2021

Last updated: 14 February 2022

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1

Mason, John B., Adam Bailes, Karen E. Mason, Olivia Yambi, Urban Jonsson, Claudia Hudspeth, Peter Hailey, Andrea Kendle, Dominique Brunet, and Pierre Martel. "AIDS, drought, and child malnutrition in southern Africa." Public Health Nutrition 8, no. 6 (September 2005): 551–63. http://dx.doi.org/10.1079/phn2005726.

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AbstractObjectiveTo investigate trends in child malnutrition in six countries in southern Africa, in relation to the HIV epidemic and drought in crop years 2001/2 and 2002/3.DesignEpidemiological analysis of sub-national and national surveys with related data.SettingData from Lesotho, Malawi, Mozambique, Swaziland, Zambia and Zimbabwe, compiled and analysed under UNICEF auspices.SubjectsSecondary data: children 0–5 years for weight-for-age; HIV prevalence data from various sources especially antenatal clinic surveillance.ResultsChild nutritional status as measured by prevalence of underweight deteriorated from 2001 onwards in all countries except Lesotho, with very substantial increases in some provinces/districts (e.g. from 5 to 20% in Maputo (Mozambique, 1997–2002), 17 to 32% in Copperbelt (Zambia, 1999–2001/2) and 11 to 26% in Midlands province (Zimbabwe, 1999–2002)). Greater deterioration in underweight occurred in better-off areas. Areas with higher HIV/AIDS prevalences had (so far) lower malnutrition rates (and infant mortality rates), presumably because more modern areas – with greater reliance on trade and wage employment – have more HIV/AIDS. Areas with higher HIV/AIDS showed more deterioration in child nutrition. A significant area-level interaction was found of HIV/AIDS with the drought period, associated with particularly rapid deterioration in nutritional status.ConclusionsFirst, the most vulnerable may be households in more modern areas, nearer towns, to whom resources need to be directed. Second, the causes of this vulnerability need to be investigated. Third, HIV/AIDS amplifies the effect of drought on nutrition, so rapid and effective response will be crucial if drought strikes again. Fourth, expanded nutritional surveillance is now needed to monitor and respond to deteriorating trends. Finally, with or without drought, new means are needed of bringing help, comfort and assistance to the child population.

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2

Braun, Yvonne A. "Environmental change, risk and vulnerability: poverty, food insecurity and HIV/AIDS amid infrastructural development and climate change in Southern Africa." Cambridge Journal of Regions, Economy and Society 13, no. 2 (July 2020): 267–91. http://dx.doi.org/10.1093/cjres/rsaa008.

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Abstract The Lesotho Highlands Water Project (LHWP) is a transnational multi-dam infrastructural development project to sell water from Lesotho to South Africa. Based on field and secondary research in Lesotho, I demonstrate how infrastructural projects such as the LHWP shape a geography of risk and become a medium through which riskscapes are created or exacerbated in both South Africa and Lesotho. Project-induced changes interacted with and intensified co-occurring vulnerabilities for communities directly and indirectly affected by the LHWP over time. I focus specifically on risks to livelihood, food insecurity and health, within the context of increased climatic shocks in the region.

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Kohi, Thecla W., Lucy Makoae, Maureen Chirwa, William L. Holzemer, Deliwe RenéPhetlhu, Leana Uys, Joanne Naidoo, Priscilla S. Dlamini, and Minrie Greeff. "HIV and AIDS Stigma Violates Human Rights in Five African Countries." Nursing Ethics 13, no. 4 (July 2006): 404–15. http://dx.doi.org/10.1191/0969733006ne865oa.

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The situation and human rights of people living with HIV and AIDS were explored through focus groups in five African countries (Lesotho, Malawi, South Africa, Swaziland and Tanzania). A descriptive qualitative research design was used. The 251 informants were people living with HIV and AIDS, and nurse managers and nurse clinicians from urban and rural settings. NVivo™ software was used to identify specific incidents related to human rights, which were compared with the Universal Declaration of Human Rights. The findings revealed that the human rights of people living with HIV and AIDS were violated in a variety of ways, including denial of access to adequate or no health care/services, and denial of home care, termination or refusal of employment, and denial of the right to earn an income, produce food or obtain loans. The informants living with HIV and AIDS were also abused verbally and physically. Country governments and health professionals need to address these issues to ensure the human rights of all people.

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4

Kroeker, Lena, and Alyx Beckwith. "SAFE INFANT FEEDING IN LESOTHO IN THE ERA OF HIV/AIDS." Annals of Anthropological Practice 35, no. 1 (May 2011): 50–66. http://dx.doi.org/10.1111/j.2153-9588.2011.01066.x.

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5

Belle, JA, SB Ferriera, and A. Jordaan. "Attitude of Lesotho health care workers towards HIV/AIDS and impact of HIV/AIDS on the population structure." African Health Sciences 13, no. 4 (February 3, 2014): 1117. http://dx.doi.org/10.4314/ahs.v13i4.36.

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6

Parker, Erin M., and Susan E. Short. "Grandmother Coresidence, Maternal Orphans, and School Enrollment in Sub-Saharan Africa." Journal of Family Issues 30, no. 6 (March 20, 2009): 813–36. http://dx.doi.org/10.1177/0192513x09331921.

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The HIV/AIDS pandemic in sub-Saharan Africa has brought renewed attention to the role of grandmothers as caregivers of children. Using 2004 Lesotho Demographic and Health Survey data, the authors examine the relationship between coresidence with a grandmother and child schooling in Lesotho, a country with one of the highest rates of HIV infection. Results confirm the critical role grandmothers play in the event of maternal death. Maternal orphans who live with a grandmother are just as likely to be in school as children living with a mother. The protective effect of living with a grandmother is also important for children whose mothers are alive but not affiliated with their households. The results of the analysis underscore the importance of attending to the simultaneous presence of mothers and grandmothers, as well as the circumstances associated with mother absence, when assessing the relationship between grandmother coresidence and child outcomes.

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7

Drimie, Scott. "HIV/Aids and land: case studies from Kenya, Lesotho and South Africa." Development Southern Africa 20, no. 5 (December 2003): 647–58. http://dx.doi.org/10.1080/0376835032000149289.

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8

Hlalele, Dipane, and Puleng Relebohile Letsie. "Gender Inequality and HIV/AIDS in Lesotho: A Human Disease Ecological Perspective." Journal of Human Ecology 36, no. 3 (December 2011): 159–65. http://dx.doi.org/10.1080/09709274.2011.11906430.

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9

Ngalawa, Harold. "Southern African customs union revenue, public expenditures and HIV/AIDS in BLNS countries." South African Journal of Economic and Management Sciences 17, no. 2 (March 6, 2014): 173–83. http://dx.doi.org/10.4102/sajems.v17i2.567.

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This study investigates how revenue from the Southern African Customs Union (SACU) common revenue pool affects efforts to contain HIV/AIDS in Botswana, Lesotho, Namibia and Swaziland (BLNS countries). Using a dataset for the BLNS countries covering the period 1990-2007 in annual frequency and a health production function, the study estimates a dynamic panel using the Arellano-Bond (1991) difference Generalised Method of Moments. The study results show that an increase in either SACU revenue or aggregate government expenditure increases HIV prevalence rates. Disaggregating the government expenditures into health and non-health outlays reveals that the health expenditure component decreases HIV prevalence rates. To be precise, the study finds that HIV prevalence rates decline when public health expenditures as a percentage of GDP and public health expenditures as a percentage of total government expenditures increase. It is argued, therefore, that the type of public expenditure is of consequence: public health expenditures decrease, while public non-health expenditures increase the HIV prevalence rates, with the ultimate direction of HIV prevalence rates determined by the dominant of the two effects.

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10

Letsie, Thandiwe Marethabile, and Mafusi Jemina Mokone. "Hindering Factors towards Male Participation in the PMCTCT HIV/AIDS Prevention Program: A Case of Lesotho." Global Journal of Health Science 13, no. 3 (February 10, 2021): 101. http://dx.doi.org/10.5539/gjhs.v13n3p101.

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HIV/AIDS remains a concern in many countries globally. Different governments have put in place preventative measures aimed at ensuring healthy nations. PMCTC HIV/AIDS as one antenatal preventive program, is a safe motherhood initiative offering comprehensive reproductive services that are more inclusive. A qualitative descriptive and explorative achieved through in-depth one-to-one interviews done established factors hindering the males in Lesotho from participating in the prevention of mother to child human immunodeficiency virus transmission (PMTCT). Tesch approach was used to analyse qualitative data and the following four themes emerged; Socio-cultural practices, lack of time by most men who are working, inadequate information to the male partners regarding reproductive related issues and educative strategies. The concerns raised by Basotho men are enlightening and call for management of health care services to align research with transformative legislation influencing reproductive health care policy. Measures aimed at improving internal processes within PMCTC umbrella address administrative issues compromising care. Therefore, constant capacity development on nursing teams to buy-into offering inclusive client centred PMCTC services is a sensible approach.

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11

Sebotsa, Mosisili, and Lekholokoe Leshota. "Translation as an indispensable weapon in the fight against HIV and AIDS in Lesotho." Southern African Linguistics and Applied Language Studies 36, no. 4 (October 2, 2018): 329–39. http://dx.doi.org/10.2989/16073614.2018.1548293.

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12

Mpalirwa, Mary Danielle. "“Knowing ‘Her' Status”: Sex, Gender, and Women's Rights in HIV and AIDs Campaigns, Lesotho." Proceedings of the African Futures Conference 2, no. 1 (June 2018): 153. http://dx.doi.org/10.1002/j.2573-508x.2018.tb000017.x.

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13

Sobane, Konosang, and Christine Anthonissen. "Linguistic resources and strategies used in multilingual communication in HIV/AIDS care centres in Lesotho." Stellenbosch Papers in Linguistics Plus 42 (January 31, 2014): 263. http://dx.doi.org/10.5842/42-0-173.

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14

Sello, Molungoa, Dorcas Rakumakoe, Martie Lubbe, Maseabata Ramathebane, and Marike Cockeran. "Clinical Outcomes and Renal Safety in HIV/AIDS Patients on Tenofovir-containing Regimens in Lesotho." Journal of Family Medicine and Health Care 5, no. 4 (2019): 38. http://dx.doi.org/10.11648/j.jfmhc.20190504.11.

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15

Wood, Lesley, Grace Makeletso Ntaote, and Linda Theron. "Supporting Lesotho teachers to develop resilience in the face of the HIV and AIDS pandemic." Teaching and Teacher Education 28, no. 3 (April 2012): 428–39. http://dx.doi.org/10.1016/j.tate.2011.11.009.

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16

Turkon, David, David Himmelgreen, Nancy Romero-Daza, and Charlotte Noble. "Anthropological perspectives on the challenges to monitoring and evaluating HIV and AIDS programming in Lesotho." African Journal of AIDS Research 8, no. 4 (December 2009): 473–80. http://dx.doi.org/10.2989/ajar.2009.8.4.11.1048.

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17

Asiedu, Christobel, Elizabeth Asiedu, and Francis Owusu. "The Socio-Economic Determinants of HIV/AIDS Infection Rates in Lesotho, Malawi, Swaziland and Zimbabwe." Development Policy Review 30, no. 3 (April 4, 2012): 305–26. http://dx.doi.org/10.1111/j.1467-7679.2012.00578.x.

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18

Harrison, Abigail, Susan E. Short, and Maletela Tuoane-Nkhasi. "Re-focusing the Gender Lens: Caregiving Women, Family Roles and HIV/AIDS Vulnerability in Lesotho." AIDS and Behavior 18, no. 3 (May 18, 2013): 595–604. http://dx.doi.org/10.1007/s10461-013-0515-z.

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19

Hlalele, Dipane, Gilbert Masitsa, and Palesa Koatsa. "An Evaluation of the Implementation and Management of an HIV/AIDS Prevention Programme in Lesotho Schools." Anthropologist 15, no. 3 (May 2013): 369–76. http://dx.doi.org/10.1080/09720073.2013.11891328.

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20

Makoae, Mokhantšo G. "Food meanings in HIV and AIDS caregiving trajectories: Ritual, optimism and anguish among caregivers in Lesotho." Psychology, Health & Medicine 16, no. 2 (March 2011): 190–202. http://dx.doi.org/10.1080/13548506.2010.525656.

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21

Babich, L. P., W. J. Bicknell, L. Culpepper, B. W. Jack, M. W. Phooko, B. Smith, and T. T. Thahane. "Institutional commitment and HIV/AIDS: Lessons from the first 3 years of the Lesotho–Boston University Collaboration." Global Public Health 3, no. 4 (October 2008): 417–32. http://dx.doi.org/10.1080/17441690701292384.

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22

Makoae, Mokhantšo, and Ken Jubber. "Confidentiality or continuity? Family caregivers' experiences with care for HIV/AIDS patients in home-based care in Lesotho." SAHARA-J: Journal of Social Aspects of HIV/AIDS 5, no. 1 (April 2008): 36–46. http://dx.doi.org/10.1080/17290376.2008.9724900.

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23

Wright, Caradee Y., D. Jean du Preez, Danielle A. Millar, and Mary Norval. "The Epidemiology of Skin Cancer and Public Health Strategies for Its Prevention in Southern Africa." International Journal of Environmental Research and Public Health 17, no. 3 (February 6, 2020): 1017. http://dx.doi.org/10.3390/ijerph17031017.

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Skin cancer is a non-communicable disease that has been underexplored in Africa, including Southern Africa. Exposure to solar ultraviolet radiation (UVR) is an important, potentially modifiable risk factor for skin cancer. The countries which comprise Southern Africa are Botswana, Lesotho, Namibia, South Africa, and Swaziland. They differ in population size and composition and experience different levels of solar UVR. Here, the epidemiology and prevalence of skin cancer in Southern African countries are outlined. Information is provided on skin cancer prevention campaigns in these countries, and evidence sought to support recommendations for skin cancer prevention, especially for people with fair skin, or oculocutaneous albinism or HIV-AIDS who are at the greatest risk. Consideration is given to the possible impacts of climate change on skin cancer in Southern Africa and the need for adaptation and human behavioural change is emphasized.

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24

Newman, Constance J., Linda Fogarty, Lucia Makoae, and Erik Reavely. "Occupational segregation, gender essentialism and male primacy as major barriers to equity in HIV/AIDS caregiving: Findings from Lesotho." International Journal for Equity in Health 10, no. 1 (2011): 24. http://dx.doi.org/10.1186/1475-9276-10-24.

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25

Sia, Drissa, Yentéma Onadja, Arijit Nandi, Anne Foro, and Timothy Brewer. "What lies behind gender inequalities in HIV/AIDS in sub-Saharan African countries: evidence from Kenya, Lesotho and Tanzania." Health Policy and Planning 29, no. 7 (December 17, 2013): 938–49. http://dx.doi.org/10.1093/heapol/czt075.

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26

Olowu, Dejo. "Responses to the global HIV and AIDS pandemic: a study of the role of faith-based organisations in Lesotho." SAHARA-J: Journal of Social Aspects of HIV/AIDS 12, no. 1 (January 2015): 76–86. http://dx.doi.org/10.1080/17290376.2015.1124802.

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27

Cohen, Rachel, Sharonann Lynch, Helen Bygrave, Evi Eggers, Natalie Vlahakis, Katherine Hilderbrand, Louise Knight, et al. "Antiretroviral treatment outcomes from a nurse-driven, community-supported HIV/AIDS treatment programme in rural Lesotho: observational cohort assessment at two years." Journal of the International AIDS Society 12, no. 1 (February 2009): 23. http://dx.doi.org/10.1186/1758-2652-12-23.

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28

Yaya, Sanni, Gebretsadik Shibre, Dina Idriss-Wheeler, and Olalekan A. Uthman. "Women’s Empowerment and HIV Testing Uptake: A Meta-analysis of Demographic and Health Surveys from 33 Sub-Saharan African Countries." International Journal of Maternal and Child Health and AIDS (IJMA) 9, no. 3 (July 23, 2020): 274–86. http://dx.doi.org/10.21106/ijma.372.

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Background: There is a growing body of evidence suggesting that women’s empowerment can help achieve better health behaviours and outcomes. However, few have looked at the impact of women’s empowerment on HIV testing in Sub-Saharan Africa (SSA). This study investigated the association between women’s empowerment and HIV testing among women in 33 countries across SSA. Methods: Cross-sectional data from the most recent Demographic and Health Surveys (2005-2018) of 33 countries in SSA were used. Confounder adjusted logistic regression analysis was completed separately for each of the 33 DHS datasets to produce the adjusted Odds Ratio (OR) for the association between women empowerment and HIV testing. The regression analysis strictly accounted for the three design elements (weight, cluster and strata) to produce an estimate representative of the respective countries. Finally, an Individual Participant Data (IPD) meta-analysis approach was used to statistically pool the effect of women empowerment on HIV testing. Results: There was a wide variation in the percentage of women who were empowered among the countries studied, with only a few countries such as South Africa, Angola and Ghana having a high prevalence of negative attitudes toward wife beating. HIV testing was higher in Angola, Lesotho, Uganda and South Africa. While participation in one or two of the three decisions had been marginally associated with lower odds of HIV testing across the SSA regions (0.89; 95%CI: 0.83, 0.97); the corresponding prediction interval crossed the null. Being involved in the three decisions (0.92; 95%CI: 0.84, 1.00) and disagreement to wife-beating (0.99; 95%CI: 0.94, 1.05) had no statistical relationship with HIV testing uptake. Conclusion and Global Health Implications: The two indirect indicators of women empowerment could not predict HIV testing uptake. Further studies are recommended to establish the nature of the relationship between HIV testing and women’s empowerment that is measured through standard tools. Key words: • HIV/AIDS prevention • Women • Empowerment • Gender equality • Global health • Sub-Saharan Africa Copyright © 2020 Yaya et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in this journal, is properly cited.

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29

Tanga, Pius Tangwe, and Magdaline Nji Tangwe. "Interplay between economic empowerment and sexual behaviour and practices of migrant workers within the context of HIV and AIDS in the Lesotho textile industry." SAHARA-J: Journal of Social Aspects of HIV/AIDS 11, no. 1 (January 2, 2014): 187–201. http://dx.doi.org/10.1080/17290376.2014.976250.

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30

Loewenberg, Samuel. "HIV/AIDS conference highlights Lesotho's progress." Lancet 369, no. 9559 (February 2007): 358–59. http://dx.doi.org/10.1016/s0140-6736(07)60172-x.

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31

Ranotsi, Amelia, and Zeleke Worku. "Factors that affect awareness about the spread of HIV/AIDS in rural Lesotho." Health SA Gesondheid 11, no. 2 (November 10, 2006). http://dx.doi.org/10.4102/hsag.v11i2.222.

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A stratified random sample of 401 participants was taken from three sites of study (Maluti, Seboche and Paray) in rural Lesotho in an attempt to study the relationship between awareness about HIV/AIDS and 55 socio-economic and demographic variables. Opsomming In ‘n poging om die verband tussen die bewustheid van HIV/VIGS en 55 sosio-ekonomiese en demografiese veranderlikes te bestudeer, is ‘n gestratifiseerde ewekansige steekproef van 401 deelnemers in drie studie-areas in die platteland van Lesotho (Maluti, Seboche en Paray) gedoen. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

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32

Nguyen, Phuong, Phuong Le, Kazunari Onishi, Huy Nguyen, and Stuart Gilmour. "134Trends and projections of Treatment as Prevention strategy in Africa and progress towards UNAIDS targets." International Journal of Epidemiology 50, Supplement_1 (September 1, 2021). http://dx.doi.org/10.1093/ije/dyab168.482.

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Abstract Background Africa is lagging behind in progress toward global HIV/AIDS elimination targets. We estimated trends in and projections of annual HIV testing and condom use at last higher-risk sex; and calculated the probability of reaching key UNAIDS’s target. Methods We included 114 nationally-representative datasets in 38 African countries from DHS and MICS with 1456224 sexually active adults age 15-49 from 2003 to 2018. We applied Bayesian mixed effect models to estimate the coverage of annual HIV testing and condom use at last higher-risk sex for every country and year to 2030; and the probability of reaching UNAIDS testing and condom use targets of 95% coverage by 2030. Results Seven countries saw downward trends in annual HIV testing and four saw decreases in condom use at higher-risk sex, while most countries have upward trends in both indicators. The highest coverages of testing in 2030 are predicted in Swaziland, Uganda and Lesotho. Meanwhile, Swaziland, Lesotho, and Namibia will have the highest proportion of condom use in 2030. The probabilities of reaching targets were very low for both HIV testing (0%-28.5%) and condom use (0%-12.1%). Conclusions We observed limited progress on annual HIV testing and condom use at last higher-risk sex in Africa, and little prospect of reaching global targets for HIV/AIDS elimination. Key messages Although some global sponsor agencies are considering withdrawal from supporting Africa, more considerable attention to funding and expanding testing and treatment are needed if HIV/AIDS elimination in Africa is to become more than a distant dream.

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Makatjane, T., M. Lebuso, T. Maseribane, and M. Sefume. "HIV/AIDS related discrimination among females aged 15-24 in Lesotho." Review of Southern African Studies 13, no. 1 (September 6, 2010). http://dx.doi.org/10.4314/rosas.v13i1.59029.

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34

Moabi, Pule Solomon, and Thandisizwe Redford Mavundla. "Perceptions of Men regarding Voluntary Circumcision at a Male Clinic in Lesotho." Africa Journal of Nursing and Midwifery 20, no. 2 (November 28, 2018). http://dx.doi.org/10.25159/2520-5293/4483.

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The prevalence of medical male circumcision in Lesotho remains low even though efforts are made to encourage men to be circumcised. In Lesotho, as one of the countries with a high prevalence of the human immunodeficiency virus (HIV), male circumcision aims at reducing new infections and averting AIDS-related deaths. The aim of this study was to gain an understanding of the perceptions of men regarding voluntary medical male circumcision in Morija, Lesotho. A descriptive, explorative and contextual qualitative study was conducted using in-depth unstructured individual interviews with 10 uncircumcised men who are aged between 29 to 83 years. Tesch’s method of descriptive data analysis revealed the following themes: (1) perceived health beliefs (protection from diseases, sexual beliefs and personal hygiene), (2) perceived community-held beliefs (stigma, traditional and religious obligation), (3) men’s knowledge regarding circumcision, and (4) perceived misconceptions about circumcision (the right time for circumcision, myths and contraindications to circumcision). Men voiced their opinion that circumcision reduces their chances of being infected with HIV even though they are not circumcised. Improved sexual pleasure tends to be in the mindset of uncircumcised men as they perceive circumcision as improving sexual pleasure. It was therefore concluded that men’s perceptions of circumcision are diverse. The uptake of male circumcision depends on influencing the perceptions of men, facilitating access of circumcision services, and ensuring a supportive social support system for uncircumcised men. There is a need to upgrade already existing circumcision policies to include the above.

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35

Akeke, VA, M. Mokgatle, and OO Oguntibeju. "Assessment of knowledge and attitudes about HIV/AIDS among inmates of Quthing prison, Lesotho." West Indian Medical Journal 56, no. 1 (January 2007). http://dx.doi.org/10.1590/s0043-31442007000100009.

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36

Mugomeri, Eltony, Bisrat S. Bekele, Mamajoin Mafaesa, Charles Maibvise, Clemence Tarirai, and Sunny E. Aiyuk. "A 30-year bibliometric analysis of research coverage on HIV and AIDS in Lesotho." Health Research Policy and Systems 15, no. 1 (March 21, 2017). http://dx.doi.org/10.1186/s12961-017-0183-y.

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37

Rakollobe, Kelello, and Kevin Teise. "Realities Regarding the (Non)Enactment of the Education Sector HIV and AIDS Policy in Rural Lesotho." Alternation - Interdisciplinary Journal for the Study of the Arts and Humanities in Southern Africa 27, no. 2 (November 1, 2020). http://dx.doi.org/10.29086/2519-5476/2020/v27n2a3.

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38

"Should I Celebrate Nairobi+21? Being a Woman in the Age of HIV and AIDS in Lesotho." Agenda, no. 69 (January 1, 2006): 111. http://dx.doi.org/10.2307/4066821.

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39

Seutloali, Thato, Lizeka Napoles, and Nomonde Bam. "Community health workers in Lesotho: Experiences of health promotion activities." African Journal of Primary Health Care & Family Medicine 10, no. 1 (February 27, 2018). http://dx.doi.org/10.4102/phcfm.v10i1.1558.

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Background: Lesotho adopted primary health care in 1979, and community health workers (CHWs) were included in the programme to focus on health promotion, particularly to reach people in underserved rural areas. Although the CHW programme has been successful, the heavy burden of disease because of HIV and/or AIDS and tuberculosis shifted resources from health promotion to home-based care.Aim: The study explored the lived experience of CHWs in conducting health promotion activities in Lesotho.Setting: The study was conducted in four health centres in Berea district, Lesotho.Methods: A qualitative study was conducted using an interviewer guide translated from English into Sesotho for four CHW focus group discussions, four individual interviews of key informants and four semi-structured interviews with the health centre nurses.Results: The roles of CHWs in health promotion ranged from offering basic first aid and home-based care to increasing access to health care services by taking patients to the facilities and promoting behaviour change through health education. Their perceived successes included increased access to health care services and reduced mortality rates. CHW challenges involved their demotivation to carry out their work because of lack of or inconsistent financial incentives and supplies, work overload which compromises quality of their work and limited community involvement.Conclusion: This study concludes that CHWs are beneficial to health promotion and its various activities. They had a clear understanding of their roles and responsibilities, although they did not fully comprehend that what they were describing was, in fact, health promotion. When it came to advocacy, CHWs did not fully understand it, nor did they consider it as part of their roles, although they acknowledged its importance. Their role of increasing access to health care services by accompanying patients to the facilities has increased considerably because of changes in disease burden. This is affecting their ability to practise other health promotion activities which focus on disease prevention.

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40

Tsepang, FM. "Socio-Cultural Challenges Facing Community- Based Interventions in Providing Care and Support to Children Affected by HIV and AIDS in Lesotho." Lwati: A Journal of Contemporary Research 7, no. 4 (August 11, 2010). http://dx.doi.org/10.4314/lwati.v7i4.57718.

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41

Sobane, Konosoang. "Multilingual practices and language scaling in behavioural change communication on HIV/AIDS in Lesotho: The case of Phela health and development communications." Stellenbosch Papers in Linguistics Plus 41 (January 18, 2013). http://dx.doi.org/10.5842/41-0-86.

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